ASIPP: Keep Epidural & Transforaminal Injections Off National Coverage Determination List

Pain Management

The American Society of Interventional Pain Physicians has sent a letter to the Centers of Medicare and Medicaid Services objecting the inclusion of epidural and transforaminal injections to the National Coverage Determination topics list.
The ASIPP objected the inclusion on the grounds that these injections are commonly performed procedures that have shown good evidence in managing certain types of conditions, such as disc herniation, when performed under fluoroscopic visualization utilizing contemporary interventional pain management modalities with appropriate outcome measures.

According to the ASIPP the burden of providing proof on an NCD decision for these procedures will only add to an overburdened healthcare system.

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